Jack L Koch, L.C.P.C.
NPI #1184742074 in Carlyle, Illinois
Provider Information
- NPI Number
- 1184742074
- Entity Type
- Individual
- Name
- Jack L Koch, L.C.P.C.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Credential
- L.C.P.C.
- Enumeration Date
- Mar 27, 2007
- Last Updated
- Jul 8, 2007
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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